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	<!-- <label for="numinscription" >N° inscription :</label><input type="text" name="numinscription" id="numinsciption" class="grand" onchange="updateInput(this,'.inscription_numero')"/> -->
	<label for="creation">Date de création :</label><input type="text" name="creation" id="creation" class="moyen date" onchange="updateInput(this,'date_crea')"/>

<p>
	<label for="participant" >Participant :</label><input type="text" name="participant" id="participant" class="grand" onchange="updateInput(this,'.inscription_participant')"/>
	<label for="numcompte">N° compte comptable :</label><input type="text" name="numcompte" id="numcompte" class="grand"/>
	<label for="commentaire">Commentaire :</label><input type="text" name="commentaire" id="commentaire" class="grand"/>
</p>

<fieldset>
	<legend align="center">Séjour 1er choix</legend>
	<p>
		<label for="demande" >Séjour demande 1er choix:</label><input type="text" name="demande" id="demande" />
		<label for="option" class="c2">Option jusqu'au :</label><input type="text" name="option" id="option" class="moyen date"/>
	</p>
	<p><label for="intitule" >Intitulé séjour:</label><input type="text" name="intitule" id="intitule" class="grand"/></p></r>
	<p>
		<label for="semaine1" >Semaine 1:</label><input type="checkbox" name="semaine1" id="semaine1"/>
		<label for="semaine2"class="c2" >Semaine 2:</label><input type="checkbox" name="semaine2" id="semaine2"/>
		<label for="semaine3"class="c2" >Semaine 3:</label><input type="checkbox" name="semaine3" id="semaine3"/>		
	</p>
<!--  <table class="tableau"> 
<tr><td>-->
	<fieldset class="colonne">
	    <legend align="center">Départ / début de prise en charge</legend>
		<p>
		<label for="datedebut">Date :</label><input type="text" name="datedebut" id="datedebut" class="moyen date"/>
		<label for="lieudebut">Lieu :</label><input type="text" name="lieudebut" id="lieudebut" class="grand"/>
		</p>
		<p><label for="surplacedebut" >Sur place :</label><input type="checkbox" name="surplacedebut"/></p>
		<p>
		<label for="numvehiculedebut" >N° véhicule:</label><input type="text" name="numvehiculedebut" id="numvehiculedebut" class="moyen"/>
		<label for="presrespdebut" class="retrait">Présence resp. :</label><input type="checkbox" name="presrespdebut" id="presrespdebut" class="check"/>
		</p>
		<p><label for="nomrespdebut" >Nom resp. :</label><input type="text" name="nomrespdebut" class="grand marge" /></p>
		<p><label for="telrespdebut" >Tél resp. :</label><input type="text" name="telrespdebut" class="grand marge" /></p>
		<label for="medicamentdebut">Médicaments transport :</label><input type="checkbox" name="medicamentdebut" id="medicamentdebut"/>
	</fieldset><!-- </td> -->
<!-- <td> -->
	<fieldset class="colonne c2">
	    <legend align="center">Retour / fin de prise en charge</legend>
	    <p>
		<label for="datefin">Date :</label><input type="text" name="datefin" id="datefin" class="moyen date"/>
		<label for="lieufin" >Lieu :</label><input type="text" name="lieufin" id="lieufin" class="grand"/>
		</p>
		<p><label for="surplacefin" >Sur place :</label><input type="checkbox" name="surplacefin"/></p>
		<p>
		<label for="numvehiculefin" >N° véhicule:</label><input type="text" name="numvehiculefin" id="numvehiculefin" class="moyen"/>
		<label for="presrespfin" class="retrait">Présence resp. :</label><input type="checkbox" name="presrespfin" id="presrespfin" class="check"/>
		</p>
		<p><label for="nomrespfin" >Nom resp. :</label><input type="text" name="nomrespfin" class="grand marge" /></p>
		<p><label for="telrespfin" >Tél resp. :</label><input type="text" name="telrespfin" class="grand marge" /></p>
		<label for="medicamentfin">Médicaments transport :</label><input type="checkbox" name="medicamentfin" id="medicamentfin"/>
	</fieldset>
<!-- </td></tr></table> -->
</fieldset>

<fieldset>
	<legend align="center">Séjour 2ème choix</legend>
	<p>
		<label for="demande2" >Séjour demande 2ème choix:</label><input type="text" name="demande2" id="demande2" />
	</p>
	<p><label for="intitule2" >Intitulé séjour:</label><input type="text" name="intitule2" id="intitule2" class="grand"/></p></r>
<!-- <table class="tableau"> 
<tr><td> -->
	<fieldset class="colonne">
	    <legend align="center">Départ</legend>
		<p>
		<label for="datedepart">Date :</label><input type="text" name="datedepart" id="datedepart" class="moyen date"/>
		<label for="lieudepart">Lieu :</label><input type="text" name="lieudepart" id="lieudepart" class="grand"/>
		</p>
	</fieldset>
<!-- 
</td>
<td>
 -->	
	<fieldset class="colonne c2">
	    <legend align="center">Retour</legend>
	    <p>
		<label for="dateretour">Date :</label><input type="text" name="dateretour" id="dateretour" class="moyen date"/>
		<label for="lieuretour" >Lieu :</label><input type="text" name="lieuretour" id="lieuretour" class="grand"/>		
		</p>
	</fieldset>
	
<!-- </td></tr></table> -->

</fieldset>